
Dental Board of California
Licensing details for: 226
Name: ESTACIO, DANIEL TORIBIO
License Type: Pediatric Minimal Sedation Permit
Primary Status: Current - Active
Practice Location
1140 E. CHEVY CHASE DR.
GLENDALE CA 91205
LOS ANGELES county
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License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VINELAND FAMILY DENTAL GROUP, ESCUTIN & ESTACIO,
License/Registration Type: Fictitious Name Permit
License Number: 4522 Primary Status: Cancelled
Address :
8052 VINELAND AVE, STE 109
SUN VALLEY CA 91352
LOS ANGELES COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Pediatric Minimal Sedation Permit
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: ESTACIO, DANIEL TORIBIO
License/Registration Type: Dentist License
License Number: 47886 Primary Status: Current - Active
Address :
27310 ROSE MALLOW LN
SANTA CLARITA CA 91387
LOS ANGELES COUNTY